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Nurse Reviewer, Inpatient Utilization & Medical Necessity

Hawaii Medical Service Association

Hawaii Medical Service Association is seeking a Concurrent Nurse Reviewer for the Facility Utilization Review Unit. The role requires applying clinical and policy criteria to determine the appropriateness of inpatient stays and suspended claims for HMSA members. Under minimal supervision, you will coordinate with medical directors, case management, and other teams, ensuring accurate documentation and adherence to accrediting and regulatory guidelines. Hawaii licensure is required. #J-18808-Ljbffr Hawaii Medical Service Association

Vacancy posted 2 days ago
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